ADOLESCENT & CHILD DEVELOPMENT CENTER, LLC
NPI: 1063671469
· POCATELLO, ID 83201
· Adult Mental Health Clinic/Center
· NPI assigned 06/02/2008
$3.91M
Total Medicaid Paid
Provider Details
| Authorized Official | WALKER, VANCE (OWNER/EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/02/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,825 |
$359K |
| 2019 |
4,370 |
$380K |
| 2020 |
2,200 |
$233K |
| 2021 |
1,789 |
$60K |
| 2022 |
1,546 |
$60K |
| 2023 |
4,188 |
$1.27M |
| 2024 |
5,196 |
$1.54M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2022 |
Community-based wrap-around services, per diem |
6,583 |
226 |
$2.69M |
| H2015 |
Comprehensive community support services, per 15 minutes |
7,620 |
474 |
$930K |
| S5100 |
Day care services, adult; per 15 minutes |
7,911 |
613 |
$288K |